Individual provider · Type 1 NPI
Jeffrey Thomas Weideman, PA-C
Medical Physician Assistant · Mankato, MN
NPI number
1013149079
Active
Practice location
125 Saint Andrews Ct Ste 200
Mankato, MN 56001-8600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 10628 (MN) |
Medical Physician Assistant: Definition to come...
Another provider at this address
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About NPI 1013149079
Jeffrey Thomas Weideman, PA-C's National Provider Identifier is 1013149079, issued on Aug 10, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Mankato, MN. The record was last updated on Oct 27, 2026.